COA Exam Practice Questions and Answers (100% Pass)
The "presenting complaint" is? - Answer✔️✔️-The main reason that the patient has
come to the office.
A mother brings in her 4 year old son. The mother says he has a lazy eye. What do
you need to find out? - Answer✔️✔️-What does she mean by "lazy eye".
A patient with heart problems? - Answer✔️✔️-May have hardening of the arteries in
the eye. (Ocular disorders associated with heart problems include hardening of the
arteries and/or blood vessel blockage)
Knowledge of a patient's breathing or lung problems would be important if the
patient also has? - Answer✔️✔️-Glaucoma (Certain glaucoma meds are
contraindicated in patients with lung disease)
Your patient states that he has rheumatoid arthritis. You should now ask symptom-
related questions to find out if he has? - Answer✔️✔️-Dry eye (Dry eye is strongly
associated with rheumatoid arthritis)
Major infections that can affect the eye include? - Answer✔️✔️-Human
immunodeficiency virus (HIV), gonorrhea, tuberculosis, and herpes simplex.
A patient taking a diuretic probably has which health problem? - Answer✔️✔️-Heart
trouble (Heart patients are placed on diuretics to reduce excess fluid in the body,
thereby reducing heart strain)
High blood pressure is frequently treated by? - Answer✔️✔️-Beta-blockers
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,©PREP4EXAMS2024/2025 REAL EXAMS DUMP Wednesday, August 7, 2024 9: 33 PM
It is important to know if a patient is taking birth control pills because? -
Answer✔️✔️-These hormones can cause changes in the retina. (Includes retinal
artery and vein occlusion)
A patient who has been taking oral steroids for long periods should be evaluated
for possible development of? - Answer✔️✔️-Cataracts
An example of an analgesic is? - Answer✔️✔️-Aspirin
A male patient is going to be scheduled for cataract surgery. What is one
medication that is of concern? - Answer✔️✔️-Slidenafil Citrate (Viagra)
(Medications for erectile dysfunction have been implicated in intraoperative floppy
iris syndrome (a common complication of cataract surgery))
The most common ocular disorders that run in families are? - Answer✔️✔️-
Strabismus, myopia and glaucoma
What are 3 potentially a hereditary disorders? - Answer✔️✔️-Keratoconus, migraine
headaches and nystagmus are usually hereditary
Any pupil larger than what size is considered mydriatic? - Answer✔️✔️-6 mm
True or false: older people tend to have smaller pupils? - Answer✔️✔️-True
Unequal pupil size is termed? - Answer✔️✔️-Anisocoria
Orthoptist - Answer✔️✔️-Helps with the diagnosis, management and non-surgical
treatment of eye muscles
Ocularist - Answer✔️✔️-Measures and fits patients with artificial eyes
Cornea - Answer✔️✔️-Clear, round membrane at the front of the globe
Iris - Answer✔️✔️-Colored circle of tissue that is behind the cornea
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,©PREP4EXAMS2024/2025 REAL EXAMS DUMP Wednesday, August 7, 2024 9: 33 PM
Pupil - Answer✔️✔️-Where light enters the eye; controlled by the iris by enlarging
or reducing the size
Crystalline lens - Answer✔️✔️-Immediately behind iris; this is the second part of the
optical focusing system
Vitreous - Answer✔️✔️-A clear, jelly-like substance that fills the large space behind
the lens
Retina - Answer✔️✔️-Where light produces an image at the back surface of the eye
Optic nerve - Answer✔️✔️-Light sensitive cells of the retina convert the image to
electrical impulses that are carried to the brain
Axial length - Answer✔️✔️-The range from front to back - normal is about 23-25
mm and width is about 24mm
Corneal central thickness (CCT) - Answer✔️✔️-About 545 micrometers or just over
0.5 mm
Pachymetry - Answer✔️✔️-Measuring the corneal thickness either optically or with
ultrasound; important in the evaluation of glaucoma
Refracting power - Answer✔️✔️-Average for cornea - 42 diopters; average for lens -
18 diopters; total eye - 60 diopters
Adnexa - Answer✔️✔️-Tissues and structures surrounding the eye; include the orbit,
extra ocular muscles, eyelids and lacrimal apparatus
Orbit - Answer✔️✔️-Bony cavity in the skull that holds the globe; contains 7
bones,extra ocular muscles, blood vessels and nerves
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, ©PREP4EXAMS2024/2025 REAL EXAMS DUMP Wednesday, August 7, 2024 9: 33 PM
Blowout fracture - Answer✔️✔️-A fracture in the floor of the orbit that results from
blunt force trauma
Extra ocular muscles - Answer✔️✔️-Muscles that control the movement of the globe
Medial rectus - Answer✔️✔️-Rotates the eye inward toward the nose; called
adduction
Lateral rectus - Answer✔️✔️-Rotates the eye outward toward the temple; called
abduction
Superior oblique - Answer✔️✔️-Causes torsional movement and twists the eye
down and inward; called incylotorsion
Inferior oblique - Answer✔️✔️-Causes torsional movement and twists the eye up
and outward; called exclotorsion
Superior rectus - Answer✔️✔️-Turns the eye upward secondarily incylotorsion
Inferior rectus - Answer✔️✔️-Turns the eye downward secondarily exclyclotorsion
Palpebral fissure - Answer✔️✔️-Almond shaped opening between the upper and
lower lids
Medial canthus - Answer✔️✔️-The point where lids meet on nasal side of palpebral
fissure
Lateral canthus - Answer✔️✔️-The temporal junction of the lids
Trichlasis - Answer✔️✔️-Abnormal growth of an eyelash in the wrong direction
Stye (External Hordeolom) - Answer✔️✔️-When lash follicle becomes inflamed
causing a red sore bump near the outer edge of the lid
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